Individual
C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N CRESCENT DR UNIT 5247, BEVERLY HILLS, CA 90210-4883
(909) 333-6573
Mailing address
323 N CRESCENT DR UNIT 5247, BEVERLY HILLS, CA 90210-4883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0004252-C-NP
CO
Other
Enumeration date
12/28/2023
Last updated
01/04/2024
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